Perceived access to general and mental healthcare in primary care in Colombia during COVID-19 : A cross-sectional study
Q1
- Autores:
-
Gomez-Restrepo, Carlos
Cepeda-Gil, Magda
Torrey, William C.
Suarez-Obando, Fernando
Uribe Restrepo, Jose Miguel
Park, Sena
Jassir, Maria Paula
Martínez Camblor, Pablo
Castro, Sergio M.
Aguilera Cruz, Jeny Alejandra
González, Lilian
Chaparro, Natalia
Gómez-Gamez, Ana María
Bell, Kathleen
Marsch, Lisa A.
- Tipo de recurso:
- Article of investigation
- Fecha de publicación:
- 2022
- Institución:
- Pontificia Universidad Javeriana
- Repositorio:
- Repositorio Universidad Javeriana
- Idioma:
- eng
- OAI Identifier:
- oai:repository.javeriana.edu.co:10554/62148
- Acceso en línea:
- https://www.frontiersin.org/articles/10.3389/fpubh.2022.896318/full
http://hdl.handle.net/10554/62148
https://doi.org/10.3389/fpubh.2022.896318
- Palabra clave:
- Mental health
Primary health care
COVID-19
Healthcare access
Depression
Unhealthy alcohol use
Mental healthcare
- Rights
- License
- Atribución-NoComercial 4.0 Internacional
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| dc.title.spa.fl_str_mv |
Perceived access to general and mental healthcare in primary care in Colombia during COVID-19 : A cross-sectional study |
| title |
Perceived access to general and mental healthcare in primary care in Colombia during COVID-19 : A cross-sectional study |
| spellingShingle |
Perceived access to general and mental healthcare in primary care in Colombia during COVID-19 : A cross-sectional study Mental health Primary health care COVID-19 Healthcare access Depression Unhealthy alcohol use Mental healthcare |
| title_short |
Perceived access to general and mental healthcare in primary care in Colombia during COVID-19 : A cross-sectional study |
| title_full |
Perceived access to general and mental healthcare in primary care in Colombia during COVID-19 : A cross-sectional study |
| title_fullStr |
Perceived access to general and mental healthcare in primary care in Colombia during COVID-19 : A cross-sectional study |
| title_full_unstemmed |
Perceived access to general and mental healthcare in primary care in Colombia during COVID-19 : A cross-sectional study |
| title_sort |
Perceived access to general and mental healthcare in primary care in Colombia during COVID-19 : A cross-sectional study |
| dc.creator.fl_str_mv |
Gomez-Restrepo, Carlos Cepeda-Gil, Magda Torrey, William C. Suarez-Obando, Fernando Uribe Restrepo, Jose Miguel Park, Sena Jassir, Maria Paula Martínez Camblor, Pablo Castro, Sergio M. Aguilera Cruz, Jeny Alejandra González, Lilian Chaparro, Natalia Gómez-Gamez, Ana María Bell, Kathleen Marsch, Lisa A. |
| dc.contributor.author.none.fl_str_mv |
Gomez-Restrepo, Carlos Cepeda-Gil, Magda Torrey, William C. Suarez-Obando, Fernando Uribe Restrepo, Jose Miguel Park, Sena Jassir, Maria Paula Martínez Camblor, Pablo Castro, Sergio M. Aguilera Cruz, Jeny Alejandra González, Lilian Chaparro, Natalia Gómez-Gamez, Ana María Bell, Kathleen Marsch, Lisa A. |
| dc.contributor.corporatename.spa.fl_str_mv |
Pontificia Universidad Javeriana. Facultad de Medicina. Instituto de Genética Humana. Grupo de investigación Instituto de Genética Humana |
| dc.contributor.corporatename.none.fl_str_mv |
Pontificia Universidad Javeriana. Facultad de Medicina. Departamento de Epidemiología Clínica y Bioestadística Pontificia Universidad Javeriana. Facultad de Medicina. Departamento de Psiquiatría y Salud Mental |
| dc.contributor.javerianateacher.none.fl_str_mv |
Suarez-Obando, Fernando Carlos Gomez-Restrepo Cepeda-Gil, Magda Uribe Restrepo, Jose Miguel |
| dc.subject.keyword.spa.fl_str_mv |
Mental health Primary health care COVID-19 Healthcare access Depression Unhealthy alcohol use Mental healthcare |
| topic |
Mental health Primary health care COVID-19 Healthcare access Depression Unhealthy alcohol use Mental healthcare |
| description |
Q1 |
| publishDate |
2022 |
| dc.date.accessioned.none.fl_str_mv |
2022-10-21T19:46:44Z |
| dc.date.available.none.fl_str_mv |
2022-10-21T19:46:44Z |
| dc.date.created.none.fl_str_mv |
2022-09-07 |
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Artículo de revista |
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http://purl.org/coar/resource_type/c_2df8fbb1 |
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http://purl.org/coar/resource_type/c_2df8fbb1 |
| dc.identifier.spa.fl_str_mv |
https://www.frontiersin.org/articles/10.3389/fpubh.2022.896318/full |
| dc.identifier.issn.spa.fl_str_mv |
2296-2565 |
| dc.identifier.uri.none.fl_str_mv |
http://hdl.handle.net/10554/62148 |
| dc.identifier.doi.spa.fl_str_mv |
https://doi.org/10.3389/fpubh.2022.896318 |
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instname:Pontificia Universidad Javeriana |
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reponame:Repositorio Institucional - Pontificia Universidad Javeriana |
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repourl:https://repository.javeriana.edu.co |
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https://www.frontiersin.org/articles/10.3389/fpubh.2022.896318/full http://hdl.handle.net/10554/62148 https://doi.org/10.3389/fpubh.2022.896318 |
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2296-2565 instname:Pontificia Universidad Javeriana reponame:Repositorio Institucional - Pontificia Universidad Javeriana repourl:https://repository.javeriana.edu.co |
| dc.language.iso.spa.fl_str_mv |
eng |
| language |
eng |
| dc.relation.citationstartpage.spa.fl_str_mv |
1 |
| dc.relation.citationendpage.spa.fl_str_mv |
13 |
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Frontiers in Public Health |
| dc.relation.citationvolume.spa.fl_str_mv |
10 |
| dc.rights.licence.*.fl_str_mv |
Atribución-NoComercial 4.0 Internacional |
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http://creativecommons.org/licenses/by-nc/4.0/ |
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PDF |
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application/pdf |
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Colombia |
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Atribución-NoComercial 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc/4.0/http://purl.org/coar/access_right/c_abf2Gomez-Restrepo, CarlosCepeda-Gil, MagdaTorrey, William C.Suarez-Obando, FernandoUribe Restrepo, Jose MiguelPark, SenaJassir, Maria PaulaMartínez Camblor, PabloCastro, Sergio M.Aguilera Cruz, Jeny AlejandraGonzález, LilianChaparro, NataliaGómez-Gamez, Ana MaríaBell, KathleenMarsch, Lisa A.Pontificia Universidad Javeriana. Facultad de Medicina. Instituto de Genética Humana. Grupo de investigación Instituto de Genética HumanaPontificia Universidad Javeriana. Facultad de Medicina. Departamento de Epidemiología Clínica y BioestadísticaPontificia Universidad Javeriana. Facultad de Medicina. Departamento de Psiquiatría y Salud MentalSuarez-Obando, FernandoCarlos Gomez-RestrepoCepeda-Gil, MagdaUribe Restrepo, Jose MiguelColombia2022-10-21T19:46:44Z2022-10-21T19:46:44Z2022-09-07https://www.frontiersin.org/articles/10.3389/fpubh.2022.896318/full2296-2565http://hdl.handle.net/10554/62148https://doi.org/10.3389/fpubh.2022.896318instname:Pontificia Universidad Javerianareponame:Repositorio Institucional - Pontificia Universidad Javerianarepourl:https://repository.javeriana.edu.coPDFapplication/pdfengPerceived access to general and mental healthcare in primary care in Colombia during COVID-19 : A cross-sectional studyArtículo de revistahttp://purl.org/coar/resource_type/c_2df8fbb1Q1Q1Introduction: The COVID-19 pandemic has had an impact both in general and mental healthcare, challenged the health systems worldwide, and affected their capacity to deliver essential health services. We aimed to describe perceived changes in ease of access to general and mental healthcare among patients with a diagnosis of depression and/or unhealthy alcohol use in Colombia. Methods: This study is embedded in the DIADA project, a multicenter implementation research study aimed at evaluating the integration of mental healthcare in primary care in Colombia. Between November 2020 and August 2021, we conducted a COVID-19 pandemic impact assessment in a cohort of participants with newly diagnosed depression and/or unhealthy alcohol use part of DIADA project. We assessed the ease of access and factors related to perceived ease of access to general or mental healthcare, during the COVID-19 pandemic. Results: 836 participants completed the COVID-19 pandemic impact assessment. About 30% of participants considered their mental health to be worse during the pandemic and 84.3% perceived access to general healthcare to be worse during the pandemic. Most of participants (85.8%) were unable to assess access to mental health services, but a significant proportion considered it to be worse. Experiencing worse ease of access to general healthcare was more frequent among women, patients with diagnosis of depression, and patients with comorbidities. Experiencing worse ease of access to mental healthcare was more frequent among patients aged between 30 and 49.9 years, from socioeconomic status between 4 and 6, affiliated to the contributive social security regime, attending urban study sites, and those who perceived their mental health was worse during the pandemic. Discussion: Despite the overall perception of worse mental health during the pandemic, the use of mental healthcare was low compared to general healthcare. Ease of access was perceived to be worse compared to pre-pandemic. Ease of access and access were affected by geographical study site, socioeconomic status, age and gender. Our findings highlight the need for improved communication between patients and institutions, tailored strategies to adapt the healthcare provision to patients' characteristics, and continued efforts to strengthen the role of mental healthcare provision in primary care.https://orcid.org/0000-0002-9013-5384https://orcid.org/0000-0003-4579-6033https://orcid.org/0000-0001-6336-5347https://orcid.org/0000-0003-4284-7886https://orcid.org/0000-0002-9682-2759https://orcid.org/0000-0002-4785-6979Revista Internacional - IndexadaA1NoMental healthPrimary health careCOVID-19Healthcare accessDepressionUnhealthy alcohol useMental healthcare113Frontiers in Public Health10ORIGINALPerceived access to general and mental healthcare in primary care in Colombia during COVID-19.pdfPerceived access to general and mental healthcare in primary care in Colombia during COVID-19.pdfArtículoapplication/pdf263143http://repository.javeriana.edu.co/bitstream/10554/62148/1/Perceived%20access%20to%20general%20and%20mental%20healthcare%20in%20primary%20care%20in%20Colombia%20during%20COVID-19.pdf5de2c9c6f888bf9d18d0da08f635d9eeMD51open accessLICENSElicense.txtlicense.txttext/plain; charset=utf-82603http://repository.javeriana.edu.co/bitstream/10554/62148/2/license.txt2070d280cc89439d983d9eee1b17df53MD52open accessTHUMBNAILPerceived access to general and mental healthcare in primary care in Colombia during COVID-19.pdf.jpgPerceived access to general and mental healthcare in primary care in Colombia during COVID-19.pdf.jpgIM Thumbnailimage/jpeg8045http://repository.javeriana.edu.co/bitstream/10554/62148/4/Perceived%20access%20to%20general%20and%20mental%20healthcare%20in%20primary%20care%20in%20Colombia%20during%20COVID-19.pdf.jpg3117d0a4ceea06c9e064a46d23706a4eMD54open access10554/62148oai:repository.javeriana.edu.co:10554/621482023-01-26 15:36:41.339Repositorio Institucional - Pontificia Universidad Javerianarepositorio@javeriana.edu.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 |